In memory of bro. Vincent steeves



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KEITH LODGE #23

D.L.WOOD SCHOLARSHIP”


IN MEMORY OF BRO. VINCENT STEEVES




  1. The value of the scholarship is $1000.00.




  1. Completed applications must be sent to:

WB Richard Wood,

Keith Lodge Scholarship Chairman,

78 Ammon Road,

Moncton, NB, E1G 2K4

and postmarked no later than May 31st application year.


  1. Application open to any grade twelve student in the Anglophone East or Francophone South School Districts of N.B. planning to enroll in a recognized university or college in Atlantic Canada within 4 months of graduation from high school. Preference will be given to a student having a relative that is/was a member of Keith Lodge #23 in Moncton, N.B., however consideration will be given to those students who have assisted Keith Lodge activities in some way.




  1. Preference will be to a student pursuing studies in the health sciences, however favorable consideration will be given to all sciences, or other fields with a humanitarian connection.




  1. Recipient must provide proof of enrollment/attendance at the institution of higher learning before a cheque is issued.



APPLICATION FOR KEITH LODGE #23

D.L. WOOD SCHOLARSHIP”


IN MEMORY OF BRO. VINCENT STEEVES

(PLEASE PRINT ALL REQUIRED INFORMATION)



FULL NAME: ________________________________________________

MALE: ____ FEMALE: ____



DATE OF BIRTH: DAY: ______ MONTH: ______ YEAR: _______

MAILING ADDRESS: _________________________________________

_________________________________________

_______________________ PC: ______ _______
PHONE: _____________________________________________________
EMAIL: _____________________________________________________
HIGH SCHOOL ATTENDING: _________________________________

HIGH SCHOOL PHONE NUMBER: _____________________________
CONNECTION TO KEITH LODGE #23 AS PER #3 ON INFO PAGE:

UNIVERSITY/COLLEGE: _____________________________________

FIELD OF STUDY: ___________________________________________
TO THIS APPLICATION, PLEASE ATTACH THE FOLLOWING THREE ITEMS:

  1. A SINGLE TYPED PAGE TELLING US WHAT WE SHOULD KNOW ABOUT YOU…. ACCOMPLISHMENTS?, EXPERIENCES?, AMBITIONS?, ACCOLADES?, AWARDS?, SKILLS?, AND ANY OTHER TRIVIA WHICH SAYS “WHO YOU ARE!”

  2. OFFICIAL TRANSCRIPT OF 1ST /2ND TERM MARKS.

  3. PHOTO WITH YOUR NAME ON THE BACK.

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